Individual provider · Type 1 NPI
Jayne Anne Johnson, LCSW
Specialist · St. Petersburg, FL
NPI number
1881819696
Active
Practice location
6440 1st Ave N
St. Petersburg, FL 33710-8402
Mailing address
1801 Bay Blvd Apt 4
Indian Rocks Beach, FL 33785-2924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | SW7415 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1881819696
Jayne Anne Johnson, LCSW's National Provider Identifier is 1881819696, issued on Apr 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2007.